TOP UP - SHORT FORM
This short form is designed for those that wish to top up and want a rough idea as to how much can be borrowed. The data entered by you will provide Mortgage Field the bare bones of a full application and is only a guide. We will then call you for a friendly chat to discuss what options are available. Sounds simple? Then give it a try!. Sounds simple? Then give it a try!
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PURPOSE
Amount you want to top up?
*
What you need in addition to your current home loan.
Applicants
*
Individual
Joint
Dependants
*
Total number of children under the age of 16 living at home.
Where is your current home loan?
*
ANZ
ASB
BNZ
The Co-Operative Bank
SBS Bank
Westpac Bank
Other (Kiwibank, TSB etc..)
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MONEY IN
Household income
Applicant (1) Earnings
*
Total Gross Annual Income
Applicant (2) Earnings
Total Gross Annual Income
Rental Income
Total weekly rent received (existing)
Working for Families
Total received per week
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MONEY OUT
Debts
Existing Home Loan(s)
*
Total Home Loans balance/ limits
Credit Card/ Store Card(s)
Total Limits
Overdraft(s)
Total Limits
Personal/ Car Loan(s)and Hire Purchases
Total weekly repayments
Student Loans
Yes (Applicant A)
Yes (Applicant B)
No
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MONEY OUT
Living expenses
Food and Groceries
*
Total monthly cost
Entertainment
*
Total monthly cost
Utilities (Power, Gas, Water, Telephone, Internet)
*
Total monthly cost
Car Running (petrol, repairs etc..)
*
Total monthly cost
Insurance (Life, Health, Contents, Car)
Total monthly cost
Other (Child Care, School, etc..)
Total monthly cost
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Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Appointment
*
Final question for marketing purposes: How did you find us?
*
Social Media e.g Facebook
Surfing the Internet e.g Google
Referred by family/ friend/ bank
Airport Advertising
Splash Palace Invercargill
Other
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